失眠病中医证候、病机与中医证候诊断标准探讨  

Discussion on the Standard of TCM Syndrome,Pathogenesis and TCM Syndromes of Insomnia

作　　者：韩铁军[1] 黄桦 熊玮[3] 刘欣[1] 何向军 黄晓刚[1] 

机构地区：[1]武汉市医学科学研究所,湖北武汉430014 [2]湖北省中山医院,湖北武汉430014 [3]武汉市中医医院,武汉430014

出　　处：《亚太传统医药》2017年第22期123-125,共3页Asia-Pacific Traditional Medicine

基　　金：武汉市卫计委中医科技项目(武卫[2010]42号wz10B04)

摘　　要：目的:研究失眠病中医证型分布规律和证候诊断标准。方法:采用中医"四诊"和统计学方法,对失眠病证候规律和证候诊断标准进行了验证研究。结果:共纳入506例失眠病例,根据证候诊断标准,证型按照出现频次分别为阴虚火旺型、心脾两虚型、肝郁化火型、痰热内扰型、心胆气虚型,同时出现了大量混合型证候。结论:失眠病以阴虚火旺、心脾两虚证型最为常见;失眠病基本病机为心肾不交;证候诊断标准,尚有完善之处,混合型证候在诊断标准中不可忽视。Objective：To study the distribution rule of TCM syndrome type of insomnia, and to explore the diagnostic criteria of syndrome. Methods ： The TCM four diagnostic and statistical methods were applied. To investigate the etiopathogenisis and the diagnostic criteria of the Chinese symptom-complex in insomnia. Results： 506 cases conforming to the diagnosis-standards of insomnia were internalized. The syndromes in TCM and correlative data of all the cases were collected, stated and divided into five syndromes. In accordance with the order from more to less , The syndromes were divided into hyperactivity of fire caused by deficiency of Yin, deficiency of both the heart and spleen, fire derived from stagnation of liver-Qi,phlegm-heat attacking internally, deficiency of heart-Qi and gallbladder-Qi. At the same time, many mixed syndromes were existed. Conclusion： The syndromes of Hyperactivity of fire caused by deficiency of Yin and deficiency of both the heart and spleen had a higher incidence rate than other syndrome in insomnia. The basic pathogenesis of insomnia was imbalance between heart-yang and kidney-yin. The syndrome diagnostic criteria of insomnia needed to be further improved. Anyway, the mixed syndromes were not negligible.

关 键 词：失眠 证候 诊断标准 病机 

分 类 号：R286[医药卫生—中药学]